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[SueLW]

Hello

I couldn't wait for my appointment on Monday with my HRT doctor.  Something seemed to snap last week.  I've been feeling rubbish for too long.  I got the results of my private scan and my lining is 2mm with no issues around at all.  I had the results of a blood test showing everything was low despite using a compounded hormone cream for a long time.  It worked at first, but I'm further into menopause now. 

As I had a pump pack of Estrogel on stand-by I started it on Thursday morning.  I applied 2 pumps because the PIL said that was standard.  I feel OK in the day (well, I feel a bit anxious today but I was OK on Thursday and Friday) but as late evening comes on I feel as if it's wearing off and I start to worry, obsess and generally feel out of sorts.  I have woken in the night or the morning feeling anxious and fidgety.  I always applied my cream twice a day.  But I wanted to try the gel just once a day because of the hanging around for it to dry.  Do you think I will get used to it once a day or would I be better applying it twice a day to avoid running out over night?  I'm actually having a bit of a flush as I type this. 

Just wondering what most of you do with it. 

I am also hypothyroid and struggling to get my dose of medication right so I have issues going on there as well that cause anxiety.

[Dotty]

Hi  I use it once  day.  I put 4 pumps of gel on my shoulders and outer arms in a morning.

Perhaps you need more gel or try a different application site.

It can take  good 6 - 8 weeks for you to see any improvement.

[SueLW]

Thanks Dotty.

I feel like I might need 3 pumps, but I don't want to overdo it at the start.  Perhaps I should hold firm for a while on 2 pumps in the morning and see if the nights settle down.  If not I'm tempted to apply a third pump at night.

[Dotty]

Just use 3 pumps in a morning. I am a member of a Facebook site dedicated to menopause and a Dr on there has said that you just need to apply Oestrogel once a day. It doesn't run out after 12 hours. It builds to a steady state and should be applied once a day.

[Tinkerbell]

I use three pumps a day, two at night and one in the morning.
I need three doses to control my symptoms but if I put it all on together it makes me jittery.

[SueLW]

Just use 3 pumps in a morning. I am a member of a Facebook site dedicated to menopause and a Dr on there has said that you just need to apply Oestrogel once a day. It doesn't run out after 12 hours. It builds to a steady state and should be applied once a day.

Thanks Dotty.  I'll give it a week or so to start to settle and then add in a dose. I actually think I'm having more hot episodes today.  But it can be hard to tell because it's so hot.

I still have to decide what to do about progesterone.  Utrogestan or Mirena.  I'll see what the doctor says on Monday.  Very tempted to just have another Mirena, but it's not body identical.

[SueLW]

I use three pumps a day, two at night and one in the morning.
I need three doses to control my symptoms but if I put it all on together it makes me jittery.

That's worth bearing in mind.  Thanks.

[SueLW]

Thanks for your reply.

I don't want to start on one pump.  I have been using a oestrogen, progesterone and testosterone cream for several years so I'm not starting from scratch.  It has become to weak for me, hence wanting a change.  So I don't want less than I was having or I'll feel even worse.

[Dotty]

I started on 2 and very quickly went to 3 and then 3.5.  I went to 4 after a month.

[Tinkerbell]

I started with two and upped it to three pumps after about a week, it was fine that way for me.